Skip to Content
chevron-left chevron-right chevron-up chevron-right chevron-left arrow-back star phone quote checkbox-checked search wrench info shield play connection mobile coin-dollar spoon-knife ticket pushpin location gift fire feed bubbles home heart calendar price-tag credit-card clock envelop facebook instagram twitter youtube pinterest yelp google reddit linkedin envelope bbb pinterest homeadvisor angies

MM slash DD slash YYYY
Name
Providing the following information is optional.
MM slash DD slash YYYY
Providing the following information is optional.
Are you aware that our office offers 24 hour eVisit care?
Did you have to wait longer than expected to get a scheduled appointment?
How long did you wait to speak to a scheduling staff member?
How would you rate the courtesy of the person who scheduled your appointment?
How would you rate the courtesy of the staff at the reception desk?
How would you rate the competence of the nurse/medical assistant who helped you?
Did you feel that your doctor spent an adequate amount of time with you?
Did your doctor discuss health care goals such as; diet and exercise with you?
Please rate the clarity of the doctor’s explanation of your condition and treatment options:
Were your questions answered to your satisfaction?
If you needed a follow up appointment, were you asked to schedule the appointment at check-out?
Would you recommend this facility and its staff to your family and friends?